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角膜地形图引导超声乳化治疗2型糖尿病年龄相关性白内障

易昀敏 易敬林 邵毅 余瑶 王慧珍 龚菊梅 高桂平

山东医药2011,Vol.51Issue(42):1-3,3.
山东医药2011,Vol.51Issue(42):1-3,3.

角膜地形图引导超声乳化治疗2型糖尿病年龄相关性白内障

Topography-guided phacoemulsification surgery on type 2 diabetic patients with age-related cataract

易昀敏 1易敬林 2邵毅 3余瑶 4王慧珍 1龚菊梅 1高桂平3

作者信息

  • 1. 江西省中医院,南昌330006
  • 2. 南昌大学医学院
  • 3. 南昌大学第一附属医院
  • 4. 南昌市第三医院
  • 折叠

摘要

Abstract

Objective To observe the corneal astigmatism and tear film stability of type 2 diabetic patients with age related cataract and astigmatism after phacoemulsification surgery guided by corneal topography. Methods 80 patients with type 2 diabetic age-related cataract and astigmatism were randomly divided into two groups;group A was treated by tra ditional superior corneal incision phacoemulsification surgery and IOL implantation, group B was treated by corneal topogra phy guiding incision phacoemulsification surgery and IOL implantation. Topography tests and tear film function were per formed at 1 week and 3 months postoperative. Results For corneal vertical Jc and horizon astigmatism P, there was signifi cance statistically at preoperative and I week postoperative in group A(P<0.01) , whereas no significance statistically at preoperative and 3 months postoperative in group A(P >0. 01 ), however, there was significance statistically at preoperative and 1 week, 3 months postoperative in group B(P <0. 01) ; when compared with group A. Group B had longer time of BUT al 1 week postoperative(P <0.05) , 3 months after surgery, the BUT of two groups return to the preoperative level. Con dusion Topography-guided phacoemulsification surgery and IOL implantation is a more favorable solution for type 2 dia betic patients with age-related cataract and astigmatism,which can correct the cornea] astigmatism, stabilize the tear film and therefore improve the visual quality.

关键词

白内障/角膜地形图/超声乳化白内障吸除术/散光/泪膜

Key words

cataract/ corneal topography/ phacoemulsification surgery/ astigmatism/ tear film

分类

医药卫生

引用本文复制引用

易昀敏,易敬林,邵毅,余瑶,王慧珍,龚菊梅,高桂平..角膜地形图引导超声乳化治疗2型糖尿病年龄相关性白内障[J].山东医药,2011,51(42):1-3,3.

基金项目

江西省卫生厅科研基金资助项目(20071021,20091069) (20071021,20091069)

江西省卫生厅中医药科研基金资助项目(20111122070161). (20111122070161)

山东医药

1002-266X

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